The Manor House

Updated 16 May 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: This inspection was carried out by one inspector.

Service and service type: The service is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

The service had a manager registered with the CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: This inspection was unannounced.

What we did: Before we inspected the service, we reviewed information we held about the service, to help inform us about the level of risk for this service. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information is called a Provider Information Return and helps support our inspections. We also contacted the local safeguarding team, commissioners and Healthwatch to request their views of the service. Healthwatch is the independent national champion for people who use health and social care services.

During the inspection, we reviewed two people’s care records and three medication administration records. We also looked at a selection of documentation in relation to the management and running of the service. This included quality assurance audits, complaints, accident and incident records, recruitment information for two members of staff, staff training records and policies and procedures.

We spoke with three people who used the service and one relative. We spoke with four members of staff and the registered manager.

Updated 16 May 2019

About the service: The Manor House is a care home for people, who may be living with learning disabilities. The home is bigger than most domestic style properties with the addition of five bungalows in the grounds. It was registered for the support of up to 18 people, 16 people were using the service at the time of the inspection. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated as the principles of Registering the Right Support were upheld.

People’s experience of using this service: The outcomes for people reflected the principles and values of Registering the Right Support in the following ways; people’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People received planned and co-ordinated person-centred care which was appropriate and inclusive for them.

Staff were knowledgeable about safeguarding and were confident to report any concerns. Systems were in place to recruit staff safely. People received their medicines as prescribed.

People were supported with good nutrition and could access appropriate healthcare services. People’s wellbeing was monitored and promoted.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were involved in planning and reviewing their care and support.

Staff were equipped with relevant skills. They worked with people to overcome challenges and promote their independence. The emphasis of support was towards enabling people. Staff encouraged positive risk taking so people could experience new opportunities. This led to people feeling fulfilled and living an active life.

The registered manager and staff team promoted the values of promoting choice and control and independence and inclusion. People were supported to achieve their own goals and be safe. Systems were in place to monitor the quality and safety of the service. The registered manager and staff were keen to drive improvement that would impact positively on people’s lives.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Good (report published 11 October 2016).

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.